Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $158.49 / $354.81	Facility	26	$117.49	$158.49	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $446.68	Professional		$213.80	$281.84	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $93.33 / $177.83	Professional	26	$64.57	$93.33	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $199.53 / $316.23	Professional	TC	$144.54	$199.53	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Professional		$177.83	$177.83	$181.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $56.23 / $85.11	Professional	26	$56.23	$56.23	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $616.60	Professional		$186.21	$363.08	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $100.00 / $144.54	Professional	26	$61.66	$100.00	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $263.03 / $478.63	Professional	TC	$134.90	$263.03	$478.63
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $549.54 / $707.95 / $707.95	Facility	26	$549.54	$707.95	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $2,041.74	Professional		$251.19	$398.11	$2,041.74
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $102.33 / $489.78	Professional	26	$66.07	$102.33	$489.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $302.00 / $1,995.26	Professional	TC	$162.18	$302.00	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $478.63	Professional		$251.19	$346.74	$478.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $85.11 / $141.25	Professional	26	$66.07	$85.11	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $245.47 / $354.81	Professional	TC	$165.96	$245.47	$354.81